| Las Animas Dental Clinic | |
|
245 Vine Ave Las Animas CO 81054-1039 | |
| (719) 456-2653 | |
| (719) 456-0105 |
| Full Name | Las Animas Dental Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 245 Vine Ave, Las Animas, Colorado |
| Authorized Official Name and Position | Jania Arnoldi (PRESIDENT/CEO) |
| Authorized Official Contact | 7195895161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Animas Dental Clinic 245 Vine Ave Las Animas CO 81054-1039 Ph: (719) 456-2653 | Las Animas Dental Clinic 245 Vine Ave Las Animas CO 81054-1039 Ph: (719) 456-2653 |
| NPI Number | 1982998472 |
|---|---|
| Provider Enumeration Date | 06/02/2011 |
| Last Update Date | 02/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982998472 | NPI | - | NPPES |
| 05638200 | Medicaid | CO | |
| 75083582 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Colorado) | Primary |
Las Animas Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Maple Avenue, Las Animas, CO 81054 Phone: 719-456-6000 Fax: 719-456-9701 | |
Ft. Lyon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 30999 County Road 15 Bldg 5, Las Animas, CO 81054 Phone: 719-662-1100 | |
Rocky Mountain Clinics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11000 County Road Gg.5, Las Animas, CO 81054 Phone: 719-456-2600 | |
Valley-wide Health Systems, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 437 W 6th Ave, Las Animas, CO 81054 Phone: 800-511-5446 | |
Family Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 Third Street, Las Animas, CO 81054 Phone: 719-456-1340 Fax: 719-456-3131 | |
Bent County Public Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 S Park Ave, Las Animas, CO 81054 Phone: 719-456-0517 |